Association between laminin-8 and glial tumor grade, recurrence, and patient survival

Cancer. 2004 Aug 1;101(3):604-12. doi: 10.1002/cncr.20397.

Abstract

Background: The authors previously sought to identify novel markers of glioma invasion and recurrence. Their research demonstrated that brain gliomas overexpressed a subset of vascular basement components, laminins, that contained the alpha4 chain. One of these laminins, laminin-8, was found to be present in highly invasive and malignant glioblastoma multiforme (GBM) (Grade 4 astrocytoma); its expression was associated with a decreased time to tumor recurrence, and it was found in vitro to promote invasion of GBM cell lines.

Methods: In the current study, the authors studied glial tumors of different grades in an attempt to correlate laminin-8 expression with tumor recurrence and patient survival. Immunohistochemistry and Western blot analysis were used to detect laminin isoforms of interest.

Results: Using immunohistochemistry and Western blot analysis, the authors confirmed high levels of laminin-8 expression in approximately 75% of the GBM cases examined and in their adjacent tissues, whereas astrocytomas of lower grades expressed for the most part a different isoform, laminin-9, which also was found in low amounts in normal brain tissue and benign meningiomas. Overexpression of laminin-8 in GBM was found to be associated with a statistically significant shorter time to tumor recurrence (P < 0.0002) and a decreased patient survival time (P < 0.015).

Conclusions: The data suggest that laminin-8, which may facilitate tumor invasion, contributes to tumor regrowth after therapy. Laminin-8 may be used as a predictor of tumor recurrence and patient survival and as a potential molecular target for glioma therapy.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Aged
  • Astrocytoma / mortality
  • Astrocytoma / pathology
  • Biomarkers, Tumor / analysis*
  • Biopsy, Needle
  • Blotting, Western
  • Brain Neoplasms / mortality
  • Brain Neoplasms / pathology*
  • Cohort Studies
  • Female
  • Fluorescent Antibody Technique
  • Glioblastoma / mortality
  • Glioblastoma / pathology
  • Glioma / mortality*
  • Glioma / pathology*
  • Humans
  • Immunohistochemistry
  • Laminin / analysis
  • Laminin / metabolism*
  • Male
  • Middle Aged
  • Neoplasm Recurrence, Local / mortality
  • Neoplasm Recurrence, Local / pathology*
  • Neoplasm Staging
  • Prognosis
  • Sampling Studies
  • Sensitivity and Specificity
  • Survival Analysis

Substances

  • Biomarkers, Tumor
  • Laminin
  • laminin 8